Laserfiche WebLink
a <br />CITY Of° EVERETT <br />DnTE I"► L R I <br />GLECTRICAL WIRING PERMIT PFPLICATION FEE //% c`O <br />�OB ADDRESS I �I(�• ��-M � .i-_ - <br />1EN�NT ��txl���? <br />PROPERTY OWNER T�c.n,C".� _ <br />GLECTRICAL CONTRACTOR %^_�•i= <br />CONTMCI'OR' S A�DRESS 1 I t5 <br />�Ac.s N./� <br />2IP <br />LICENSE N0. F.S �� �'� IG I 1��t EXPZRl�TION DATE' �� � q � <br />� � � <br />ADMINTSTRATOR �SeN t�iZ.i 1'�_� -t'T PIIONE N0. 53�� �• ? � � i� __ <br />^ n� <br />VALUE OP WOAK�� o�.� (do not include taxe,) <br />(for commerical work) <br />USC OF HUILDING �—�Ar � ro�r�rl �w�� �07 I`/'�t.k'f� ..__ <br />NOTE: WAC 296-46-140 requir.es that plans for electrical wock at educational, <br />institutional or health care Cacilitiea be approved by the State of washington. <br />Applicants witfi such jobs muat show tlie SCate approved plans before a City <br />of Everett permit will be issued. <br />NOTEi Wiring in non dwellinga is reyuired Lo be ih conduil. <br />WORK TO BE DOI7G: <br />Gaw�Du�T L� n\n/�Z�w/ 1'�' �L"iW U�..1�"U1��R��\wi� F�uK.�. CIYo�.ZdLv-_ <br />I�aNKS i���+ 1�JC.L. ISi'izIJ�17_�r- <br />SIGNED: � . / _ _ DnTE: �'� I I�' �� I -- <br />��� <br />3j 27/�JO <br />